Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.20 / $5,116.62 / $20,400.00	Facility		$1,033.20	$5,116.62	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,194.64 / $1,194.64 / $1,194.64	Facility	50	$1,194.64	$1,194.64	$1,194.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.91 / $1,012.08 / $1,202.77	Professional		$855.91	$1,012.08	$1,202.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $890.73 / $1,219.85	Facility		$630.00	$890.73	$1,219.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.63 / $910.80 / $969.68	Facility		$683.63	$910.80	$969.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.80 / $967.38 / $5,217.00	Facility		$659.80	$967.38	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $183.21 / $183.21 / $183.21	Facility	80	$183.21	$183.21	$183.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $155.72 / $155.72 / $155.72	Facility	AS	$155.72	$155.72	$155.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,573.67 / $14,457.65 / $18,175.73	Facility	50	$11,573.67	$14,457.65	$18,175.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00